Pandemic Diary, March 2020

By Chuck Dinerstein, MD, MBA — Mar 28, 2020
Throughout this pandemic, we have heard many heartbreaking and heartwarming stories of how we're responding and coping. Many of those have been about the elderly, accounts written by adult children describing how they miss contact with their parents, segregated from them by institutional living. But here is a first-hand account by an older couple in their mid-80s, who describe what they are thinking and living through during this staggering health crisis.

Throughout this pandemic, we have heard many heartbreaking and heartwarming stories of how we're responding and coping. Many of those have been about the elderly, accounts written by adult children describing how they miss contact with their parents, segregated from them by institutional living. But here is a first-hand account by an older couple in their mid-80s, who describe what they are thinking and living through during this staggering health crisis.

States Lead The Way in Coronavirus Crisis with Emergency Removal of Occupational Licensing Obstacles. Why Not Make Them Permanent?

By Jeffrey Singer — Mar 28, 2020
The Center for Medicare and Medicaid Services recently issued a national emergency order to pay doctors for services rendered to patients in states in which they are not licensed to practice, so long as they hold an equivalent license in another state. This would be a good move. Luckily, many states are already ahead of the federal government on implementing such measures.

The Center for Medicare and Medicaid Services recently issued a national emergency order to pay doctors for services rendered to patients in states in which they are not licensed to practice, so long as they hold an equivalent license in another state. This would be a good move. Luckily, many states are already ahead of the federal government on implementing such measures.

Coronavirus: My Secret Hope

By David Shlaes — Mar 28, 2020
The seasonality of coronavirus infections is the basis of hope. If COVID-19 goes on until July – as it well may – it will be disastrous for world health and for the global economy. But, if it is like SARS, it may then die out and not come back. Is this wishful thinking?  Yes, but based on scientific fact. Should we hope for the best but prepare for the worst? Absolutely. 

The seasonality of coronavirus infections is the basis of hope. If COVID-19 goes on until July – as it well may – it will be disastrous for world health and for the global economy. But, if it is like SARS, it may then die out and not come back. Is this wishful thinking?  Yes, but based on scientific fact. Should we hope for the best but prepare for the worst? Absolutely. 

Chlorpyrifos: A Hostage of the Secret Science Rule?

By Michael Dourson — Mar 27, 2020
In short, the public is often worried about chemical exposure, as they should be when such exposure exceeds a safe dose. The public’s interest is best served by trusting experts dedicated to public health protection and not by withholding scientific data from independent analysis.

In short, the public is often worried about chemical exposure, as they should be when such exposure exceeds a safe dose. The public’s interest is best served by trusting experts dedicated to public health protection and not by withholding scientific data from independent analysis.

COVID-19: The Best (Worst?) Coronavirus Conspiracy Theories

By Alex Berezow, PhD — Mar 26, 2020
In the Digital Age, we have access to more information than at any time in human history. But that doesn't stop the spread of conspiracy theories. Here are the best (worst?) ones involving the new coronavirus and the disease COVID-19.

In the Digital Age, we have access to more information than at any time in human history. But that doesn't stop the spread of conspiracy theories. Here are the best (worst?) ones involving the new coronavirus and the disease COVID-19.

Coronavirus: Hydroxychloroquine Probably Isn't the Answer

By Josh Bloom — Mar 26, 2020
If there was any effect of this drug on COVID-19, it was minimal. Hydroxychloroquine, whose toxicity is far lower, may be safer than chloroquine. But that doesn't matter if the drugs are ineffective.

If there was any effect of this drug on COVID-19, it was minimal. Hydroxychloroquine, whose toxicity is far lower, may be safer than chloroquine. But that doesn't matter if the drugs are ineffective.

Can 1 Ventilator Treat 2 Patients?

By Chuck Dinerstein, MD, MBA — Mar 26, 2020
As the number of patients requiring ventilatory assistance to survive COVID-19 rises, and with no new ventilators in sight, a "Hail Mary" technique is starting to be used. Can a machine designed to help one patient be reconfigured to support two or more? And can it protect society at large, even just a bit, from surging hospital admissions?

As the number of patients requiring ventilatory assistance to survive COVID-19 rises, and with no new ventilators in sight, a "Hail Mary" technique is starting to be used. Can a machine designed to help one patient be reconfigured to support two or more? And can it protect society at large, even just a bit, from surging hospital admissions?

What I'm Reading (Mar. 26)

By Chuck Dinerstein, MD, MBA — Mar 26, 2020
On tap this time: Why coronavirus containment failed, learning from history, and how COVID-19 hijacks your body. Also, a ritual in troubled times ... giving moss the attention it deserves ... and finally, the reason to slack off. (There had to be a good reason, right?)

On tap this time: Why coronavirus containment failed, learning from history, and how COVID-19 hijacks your body. Also, a ritual in troubled times ... giving moss the attention it deserves ... and finally, the reason to slack off. (There had to be a good reason, right?)

Journalist Peter Fairley Cites Anti-Vaxx Website, Spreads Misinformation on Flu, COVID-19

By Alex Berezow, PhD — Mar 24, 2020
Peter Fairley, an environmental journalist and contributing editor for MIT Technology Review, cited an anti-vaccine website, DeSmogBlog, in a smear directed at our organization. Simultaneously, he spread misinformation about influenza and COVID-19 and endorses advice that contradicts that of the CDC and World Health Organization.

Peter Fairley, an environmental journalist and contributing editor for MIT Technology Review, cited an anti-vaccine website, DeSmogBlog, in a smear directed at our organization. Simultaneously, he spread misinformation about influenza and COVID-19 and endorses advice that contradicts that of the CDC and World Health Organization.

Do-It-Yourself N95 Masks. Really?

By Chuck Dinerstein, MD, MBA — Mar 24, 2020
For those of you staying at home who might be considering performing CPR, a tracheostomy, or intubating someone in the neighborhood [1], an N95 mask is a necessity; otherwise, you are diverting "war-time" supplies from the first responder and health care army.

For those of you staying at home who might be considering performing CPR, a tracheostomy, or intubating someone in the neighborhood [1], an N95 mask is a necessity; otherwise, you are diverting "war-time" supplies from the first responder and health care army.